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PROOF OF INSURANCE (2019 - 2019) CLOSED0 DATE (MMIDDIYYYY) AC4::)RV CERTIFICATE OF LIABILITY INSURANCE 1, 1 2/22/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACTAAWilhem Morelos Alliant Insurance Services, Inc. P".ON..E76i 701 B Street, 6th floor gE'MA . 304- r 7360 San Die o CA 92101 ADo'° 0 304-7120 No.760-304-° ss;!JMDrelos alllan�.com COVERAGES CERTIFICATE NUMBER: 1513856061 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF•INSURANCE L 1jR •.•._._ POLICY NUMBER ................°.IMM DDY�._..-°..- LIMN............. INSR •.•.•., ADr7°-.' .'�.'�.'�.'�'�"� POLICY EXP ' LTR AN 1_ IMM/OOIYYYY'I S E X COMMERCIAL GENERAL LIABILITY O XSLG71209672 10/15/2018 10/15/2019 EACH OCCURRENCE $ 1,000,000 - SII CLAIMS -MADE L.�J OCCUR 'iAaENTt=D ..............-.....,.,.,..�.....,.�.., INSURER(S) AFFORDING COVERAGE ..._.•.•.•.................................................................................•. NAIC #...............•. 10/15/2018 INSURER A: Tokio Marine Specialty Insurance Company ......................................... 23850 INSURED EDCODIS-01 INSURER B: North American Insurance Company..,•,•,•_ 25038 EDCO Disposal Corporation­,""I'll"tional INSURER C : GU deOne National Insurance Company 14167 6670 Federal Blvd PR509RGY DAMAGE $ X Lemon Grove CA 91945-1392 INSURER D: Liberty Insurance Underwriters. Inc19917 -� ALL OWNED , NNTURER E: ACE American Insurance Company-.°°°°°°°°°°°°°°°°°°°°°-°°°°°° 22667 10/15/2018 INSURER F: ••-••—•—• ----• ,AUTOS X COVERAGES CERTIFICATE NUMBER: 1513856061 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF•INSURANCE L 1jR •.•._._ POLICY NUMBER ................°.IMM DDY�._..-°..- LIMN............. INSR •.•.•., ADr7°-.' .'�.'�.'�.'�'�"� POLICY EXP ' LTR AN 1_ IMM/OOIYYYY'I S E X COMMERCIAL GENERAL LIABILITY O XSLG71209672 10/15/2018 10/15/2019 EACH OCCURRENCE $ 1,000,000 - SII CLAIMS -MADE L.�J OCCUR 'iAaENTt=D ISAH25275792 DOX000214301 56000002301 100006038712 DED 1 11 RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N I A (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below A Premises Pollution PPK1858484 PREMI$ES...,(wEs,accurrance ...............$300,000 ` MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1.000.000 GENERAL AGGREGATE I $ 2.000.000 PRODUCTS - COMP/OP AGG I $ 2,000.000 X$250,000 SIR 10/15/2018 _•........... ............................................. ....�.•�. GEN'L AGGREGATE LIMIT APPLIES PER: C'OMBINE'D SINGLE IUMIT X POLICY EI J, i JECT F LOC BODILY INJURY (Per person) $ OTHER' E AUTOMOBILE LIABILITY PR509RGY DAMAGE $ X ANY AUTO -� ALL OWNED SCHEDULED 10/15/2019 EACH OCCURRENCE $ 35"000,000 10/15/2018 AUTOS ••-••—•—• ----• ,AUTOS X X NON -OWNED HIRED AUTOS AUTOS B X UMBRELLA LIAB OCCUR �l.STATUTE._.Y_........k..OE...RH- D X EXCESS LIAB CLAIMS -MADE ISAH25275792 DOX000214301 56000002301 100006038712 DED 1 11 RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N I A (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below A Premises Pollution PPK1858484 PREMI$ES...,(wEs,accurrance ...............$300,000 ` MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1.000.000 GENERAL AGGREGATE I $ 2.000.000 PRODUCTS - COMP/OP AGG I $ 2,000.000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of EI Segundo is named as Additional Insured. Vv CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of EI Segundo ACCORDANCE WITH THE POLICY PROVISIONS. Public Works Dept. 350 Main Street AUTHORIZED REPRESENTATIVE EI Segundo CA 90245 I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 10/15/2018 10/15/2019 C'OMBINE'D SINGLE IUMIT $1 1000,000 °°°°°. ,.•_-•.,m,.. BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PR509RGY DAMAGE $ $ 10/15/2018 10/15/2019 EACH OCCURRENCE $ 35"000,000 10/15/2018 10/15/2019 ••-••—•—• ----• 10/15/2018 10/15/2019 AGGREGATE $35,000000 �l.STATUTE._.Y_........k..OE...RH- E.L, EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ 7/31/2018 7/31/2020 Pol'!cy',AggTegate $5,000,000 Ofts�ila cleanup $5,000,000 OrW10Cleanup $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of EI Segundo is named as Additional Insured. Vv CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of EI Segundo ACCORDANCE WITH THE POLICY PROVISIONS. Public Works Dept. 350 Main Street AUTHORIZED REPRESENTATIVE EI Segundo CA 90245 I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION Named Insured Endorsement Number EDCO Disposal Corporation 1 Polley ^ . ^^ .. y Period Effective Date of Endorsement m ame XS G71209672 10/ symbol Policy Num � 1512018 to 10/15/2019 Issued By (Name of Insurance Company) ACE American Insurance Company Ins'arl the po9ley number. ha romslndor or 1Me' irvio'rnts srM ie to ea ds i4pid 6ii ly when this en'dorsemsrrl Is _ssued sub'sequonl to the prepare6�wrw al IApo pplucy THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: EXCESS COMMERCIAL GENERAL LIABILITY POLICY SCHEDULE Name of Person or Organization: Any Person or Organization whom you have agreed to include as an Additional Insured under a written contract, provided such contract was executed prior to the date of loss. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance And Retained Limit: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Authorized Representative XS-6W25b (04113) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — SCHEDULED PERSON OR ORGANIZATION Named Insured EDCO Disposal Corporation Endorsement Number 2 IG71209672 7__.... 512018 to 10/15.... 1011 12019�� Dete of endorsement .__..�dict'Number Policy Policy symbol P EffXSL Issued By (Name of Insurance company) ACE American Insurance Company Ini ert the ppi number lieu rerneinder of this im orr aVon i,s to be completed oMy when this endorsement is issued subsequent to the preparetlon of the ,policy, THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This Endorsement modifies insurance provided under the following: EXCESS COMMERCIAL GENERAL LIABILITY POLICY 411, SCHEDULE — Name Of Additional. InsuredPerson(s) 7 O.� r 0�anization s: Locatlon s�) Of Covered Operations Any Owner, Lessee or Contractor Whom you have agreed All locations where you are performing operations to include as an additional insured under a written contract, for such Additional Insured pursuant to any such provided such contract was executed prior to the date of written contract loss. Information required to complete this Schedule, A.not shown above, will be shown in the Declarations.,,-,, A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organiza- tions) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or XS -21168a (04113) Copyright. Insurance Services Office. Inc.. 2012 Page 1 of 2 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance And Retained Limit: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Authorized Representative XS -21168a (04113) Copyright, Insurance Services Office. Inc_. 2012 Page 2 of 2 1 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Named Insured Endorsement Number EDCO Disposal Corporation 10 Polley symbol Policy Number Policy Period Effective Date of Endorsement XSL G71209672 10/15/2018 to 10/15/2019 Issued By (Name of Insurance Company) ACE American Insurance Company Insert [he policy number The reme nder of the mlorrnetdan is to be a nmp etod on' -y w'iin INs endorasament u; issued subsequent to the aq ren moo ti fsrePet_.�....... Rbe policy THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: EXCESS COMMERCIAL GENERAL LIABILITY POLICY SCHEDULE Name of Person or Organization: Any Person or Organization against whom you have agreed to waive your right of recovery in a written contract, provided such contract was executed prior to the date of loss. We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the 'products -completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. Authorized Agent XS -6W34 (09/95) Ptd_ in U_S.A. Page 1 of 1 EDCODIS-01 TWANG CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY)04/04/2019 ..........................................................................................._ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. .�........._....._ _._._._ ._._._._. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. I If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such entlorsement(s). PRODUCER License # OC36861 � ACr Michele R Callihan 'Inland Empire-Alliant Insurance Services, Inc. PHONE 909 886 9861 FAX ) _ 3 735 Carnegie Dr Ste 200 r om M allihaan a a°Cwrlr~i. San Bernardino, CA 92408 �� IN ss;�l�.. "lliant.c ( INSURER($) AFFORDING COVERAGE NAM N INSURER A: Travelers Property„ Casualty Com1 any.ofAmerica 2 674 INSURED INSURER 8: EDCO Disposal Corporation INSURER C 6670 Lemon Grove, CA 91945-1392 al Blvd INSURER D : . ysurt,wmr: E INSURER F: COVERAGE'S' _ CERTIFICATE NUMBER .................... .................. REVISION NIUMBEW.......................................... THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN rREDUCED BY PAID CLAIMS, INSR TYPE OF�INSURANCE ADD SINSO y POLICY NUMBE,. 06LICYEFF (POLCY EXP -Rp LIM.TS .... .... COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE CLAIMS -MADE (OCCUR MED EXP {„Anao"Wrlr%rs,,, 1 $ O RENTED ne PERSONAL 8 ADV INJURY $ GEN'LAGGRE�GArC LIMIT APP V POUCY Ir...............i JECT ❑ OC PR,rJIIUCTS,G,C MP QP AGG $ OTHER_..,., __._...................................... ..... _... $ AUTOMOBILE LIABILITY (ER.K9 ED SINGLE LIMIT I $ AUTOS ONLY AUTOS BODIl..X INJURY (ParpersanL_ $, _ ANY AUT _ BOD OWNED SCHEDULED _-- ONLY AU�O (T,fq I OILYJTY?A (Peraccidanl). $. NO P m���c�-� Y' �IAMAt"�E' UMBRELLA LIAB .. OCCUR EACH OCCURRENCE „ „$„.................................................„ „ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED V � RETENTION..,$ ........................... A WORKERS COMPENSATION X PER OTSH AND ANFIC O EM ERIPARTU R/ ECUTIVE L Nf NIA X TC2JUB-419J7856-18 09/19/2018 09/19/2019 ACCIDENT�EACH .., ...........................a........ ... 1,000,000 000 (Mandatory in NH) ` E L DISEASE - EA EMPLOYEE $ If es, describe under .................-DESCRIPTION OF OPERATIONS below„�,..------ ..._................... ... _E_L, DISEASE . POLICY 1,000,(itltl CY LIMIT $ DESCRI'PTtON OF OPERATIONS P LOCATIONS / VEHICLES (ACORD 101, Additional Rsrnarks Schedule, nray be attached if Moto space is required) Waiver of Subrogation applies per attached endorsement. This certificate cancels and replaces previously issued on 03/04/19. e-011-�” CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cit of EI Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y 9 ACCORDANCE WITH THE POLICY PROVISIONS. Public Works Dept. 350 Main Street _ .................................... EI Segundo, CA 90245 AUTHORIZED REPRESENTATIVE (i, Ort KM°,„A I/ ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Aftl ��V�� �r WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 99 03 76 ( A) — ooi POLICY NUMBER: (TC2JUB-419J185-6-18) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. The additional premium for this endorsement shall be 0 .0 % of the California workers' compensation pre- mium. Schedule Person or Organization ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. Job Description This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 09/19/18 Policy No.TC2JUB419J1856-18 Endorsement No. Insured: Edco Disposal Corporation Premium Insurance Company Countersigned by DATE OF ISSUE: 08-29-18 ST ASSIGN: Page 1 of 1